Individual provider · Type 1 NPI
Jechell Lary-Waller, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Gray, GA
NPI number
1295548378
Active
Practice location
452 Graham Woods Cir
Gray, GA 31032-4914
Other practice locations
- 4539 N 22nd St Ste R, Phoenix, AZ 85016-4639 · (478) 390-3836
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN15699 (GA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Other psychiatric/mental health nurse practitioner providers in Gray
About NPI 1295548378
Jechell Lary-Waller, PMHNP's National Provider Identifier is 1295548378, issued on Jan 31, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Gray, GA. The record was last updated on Jul 24, 2025.